KETI SULAJ DUBOW (NPI# 1659903821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659903821 |
| Entity Type | Individual |
| Full Name | KETI SULAJ DUBOW |
| Credential | PHARMD, RPH |
| Practice Address |
1740 Cleveland Rd Wooster OH 44691-2204 |
| Mailing Address |
11850 Edgewater Dr Apt 1005 Lakewood OH 44107-6403 |
| Practice Telephone | 3302874850 |
| Mailing Telephone | 4404977575 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03236870 | OH | Pharmacy Service Providers |
| Street Address |
1740 CLEVELAND RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629069133 | Jeffery Reynold Kontak | Family Medicine | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2005-11-03 |
| 1184100372 | Kristen Stout | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2018-07-11 |
| 1952812968 | Jamie George | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-10-17 |
| 1619496486 | Julie Podlogar | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-09-13 |
| 1396286506 | Jesse James Cecil | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2017-03-20 |
| 1366894214 | Kathy Praisler Wood | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2016-07-04 |
| 1841692597 | Rayanne Robinson | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2014-09-24 |
| 1720412356 | Sondra Lee Vetovitz | Physician Assistant | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2013-08-30 |
| 1871934372 | Stephanie Strausbaugh | Nurse Practitioner | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2013-07-12 |
| 1912346990 | Cleveland Clinic | Clinic/Center | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2013-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.